Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.45 / $9,095.84 / $22,024.00	Facility		$521.45	$9,095.84	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.29 / $540.46 / $1,019.41	Professional		$450.29	$540.46	$1,019.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,562.96 / $14,663.54 / $28,049.69	Facility		$8,562.96	$14,663.54	$28,049.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $543.30 / $900.34 / $4,908.00	Professional		$543.30	$900.34	$4,908.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,585.08 / $3,585.08 / $5,972.71	Facility		$3,585.08	$3,585.08	$5,972.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.91 / $790.61 / $1,161.90	Professional		$504.91	$790.61	$1,161.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $480.84 / $937.55 / $6,620.15	Facility		$480.84	$937.55	$6,620.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $483.75 / $865.12 / $4,024.14	Professional		$483.75	$865.12	$4,024.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.89 / $646.74 / $1,057.30	Professional		$100.89	$646.74	$1,057.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $581.79 / $752.90 / $965.47	Facility		$581.79	$752.90	$965.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $514.61 / $527.84 / $2,173.03	Facility		$514.61	$527.84	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $543.30 / $880.46 / $1,082.58	Professional		$543.30	$880.46	$1,082.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,508.65 / $14,655.16 / $28,049.69	Facility		$9,508.65	$14,655.16	$28,049.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $524.83 / $759.30 / $1,022.75	Professional		$524.83	$759.30	$1,022.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $4,526.62 / $10,522.00	Facility		$1,862.00	$4,526.62	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.64 / $805.93 / $1,119.68	Professional		$497.64	$805.93	$1,119.68